Is Colitis Serious Enough for a Second Opinion on Diagnosis?

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When my mother was diagnosed with colitis, I suggested we get another opinion. I am her caregiver. She does not think colitis is something severe enough to warrant another opinion. I suggested that with a disease that would affect her for the rest of her life, another opinion is worthwhile if only for her peace of mind. This disease would mean a change of what she can eat and what she can’t eat without causing a near-death experience. Am I overreacting? Should I be taking a more relaxed attitude about it?

You’re right to take this diagnosis seriously. Your mother should get another opinion to ensure that the diagnosis is correct and that the best therapy is offered. Ulcerative colitis is a life-long condition that could become very severe at any time.

Your mother can minimize her risk of developing more severe disease by being on the correct dose of mesalamine. Also, patients with ulcerative colitis are at risk for developing colorectal cancer; these risks as well as cancer surveillance colonoscopy recommendations need to be discussed.

You sound concerned about her diet, so I want to reassure you that there is no specific diet that colitis patients must follow, and there are no known dietary triggers that would precipitate a life-threatening flare.

Last Updated: 2/18/2008

Ulcerative colitis expert Dr. Bret Lashner is the director of the Center for Inflammatory Bowel Disease at the Cleveland Clinic Foundation.

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